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Episiotomy Keene NH

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Dr.Joanne Bulley
(603) 357-5800
61 Summer Street
Keene, NH
Gender
F
Education
Medical School: Med Coll Of Ohio
Year of Graduation: 1981
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Aloysius George Freeman, MD
(603) 352-3449
580 West St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1980

Data Provided By:
Lisa K Stolper
(603) 354-6640
590 Court St
Keene, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Tanya S Dewitt, MD
(603) 354-5400
590 Court St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Pa State Univ Coll Of Med, Hershey Pa 17033
Graduation Year: 1983

Data Provided By:
Fletcher R Wilson
(603) 924-9444
454 Old Street Rd
Peterborough, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Christopher J Mills, MD
(603) 354-5400
590 Court St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1993

Data Provided By:
Joanne E Bulley, MD
(603) 357-5800
61 Summer St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1981

Data Provided By:
Lisa Kay Stolper, MD
(603) 354-5400
590 Court St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1987

Data Provided By:
Ann G Freeman, DO
(603) 352-3449
580 West St
Keene, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1996

Data Provided By:
David R LeVene
(603) 924-9444
454 Old Street Rd
Peterborough, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Data Provided By:

Episiotomy

Episiotomy

An episiotomy is a surgical procedure that enlarges the vaginal opening during labor by cutting the perineum, the skin and muscles between the vulva and anus.

Episiotomy is the surgery most commonly performed on women in the United States.

Between 50 and 90% of women giving birth to their first child undergo this procedure. For decades, episiotomies have been performed on a routine basis to help speed delivery during the second stage of labor; as well as to prevent tears to the mother's vagina, especially serious tears that may stretch to the anus. The procedure was also thought to lessen trauma to the baby and protect the mother's vaginal muscles.

Episiotomies May Be Useful Under The Following Conditions:

  • Labor is too fast. If you are unable to stop pushing and slow your labor, some health care providers believe a clean cut may help prevent a serious tear.
  • Fetal or maternal distress. An episiotomy may speed delivery if you or your baby are experiencing complications.
  • Extremely large or breech baby. An episiotomy may help ensure a safe delivery by widening the vaginal opening.

Currently, there is disagreement in the medical field about the routine performance of an episiotomy. One large study showed that routinely cutting an episiotomy increases the risk of tears in the back of the vagina, but reduces tears in the front. Based on these results, the World Health Organization, among other groups, recommends avoiding episiotomy unless it's absolutely necessary.

What Will Happen?

If an episiotomy is needed, then just before your baby is born, as the head is about to crown, your care health provider will inject a local anesthetic in the bottom of your vaginal opening and make an incision.

There are two types of incisions: median and medio-lateral. The median incision goes straight down the vagina toward the anus; the medio-lateral incision is made at an angle from the vagina to the anus. The medio-lateral is considered less likely to tear through to the anus, but is more difficult to repair and takes longer to heal than the median.

Your health care provider will then deliver the baby through the enlarged opening, followed by the placenta. The incision is stitched closed immediately after delivery.

For most women healing is uncomplicated, although it may take several weeks. You can help speed the process by asking nurses to apply ice packs immediately following the birth.

To Continue The Healing Process Over The Next Few Weeks You Should:

  • Use sitz bath a few times a day, change your pads frequently, and try a heat lamp or hair dryer after you bathe to keep the area around the stitches clean and dry.
  • Take stool softeners and eat lots of fiber to prevent constipation.
  • Perform Kegel exercises. Squeeze the muscles that you use to hold in urine for five minutes, 10 times a day, during your regular activities...

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